Letter of Intent application form

Title of the project*

Characters left: 150

Keywords*

Characters left: 35

Details of the Principal Investigator:

First name*

Last name*

Affiliation*

ORCID*

Email address*

Details of the rest of the research team (optional)

Characters left: 1000

Details of the Project:

Summary*

Characters left: 2100

Objectives*

Characters left: 1400

General Methods*

Characters left: 4200

General Timeline*

Characters left: 1400

General Budget and Justification*

Characters left: 2800

Expected Results*

Characters left: 1400

If applicable, feasibility of the project for future transfer to clinical research

Characters left: 1400

Contact information for all correspondence:

First name*

Last name*

Affiliation*

Address*

ORCID*

Phone number*

Email address*

By clicking this box, I hereby confirm that I have read and understood both the entire Privacy Policy and all terms of the Call for Innovative Research Projects in Advanced Therapies for Dravet Syndrome​, and agree to all statements.